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<meta name="description" content="我是第一次参加这种大型的口腔展会，而且还跑那么远。以前都是去听那种家门口的或者至少是省内的课程。我参会的原因，第一是因为我七月份刚刚加入中华医学会成为其会员。以前我对这种交钱入会的方式都是嗤之以鼻的，认为不值得花那么多钱(尽管只是一年一百，呵呵，典型的穷人思维)。入会后我觉得还是值的，因为会员参加很多活动是免费的，非会员要交500甚至更多，参加一次活动会费就赚回来了。当然更重要的，是成为会员能促进">
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<meta property="og:title" content="2018年中华口腔医学会年会参会记录">
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<meta property="og:site_name" content="赵瑜敏的口腔医学专业学习博客">
<meta property="og:description" content="我是第一次参加这种大型的口腔展会，而且还跑那么远。以前都是去听那种家门口的或者至少是省内的课程。我参会的原因，第一是因为我七月份刚刚加入中华医学会成为其会员。以前我对这种交钱入会的方式都是嗤之以鼻的，认为不值得花那么多钱(尽管只是一年一百，呵呵，典型的穷人思维)。入会后我觉得还是值的，因为会员参加很多活动是免费的，非会员要交500甚至更多，参加一次活动会费就赚回来了。当然更重要的，是成为会员能促进">
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        <p>我是第一次参加这种大型的口腔展会，而且还跑那么远。以前都是去听那种家门口的或者至少是省内的课程。<br>我参会的原因，第一是因为我七月份刚刚加入中华医学会成为其会员。以前我对这种交钱入会的方式都是嗤之以鼻的，认为不值得花那么多钱(尽管只是一年一百，呵呵，典型的穷人思维)。入会后我觉得还是值的，因为会员参加很多活动是免费的，非会员要交500甚至更多，参加一次活动会费就赚回来了。当然更重要的，是成为会员能促进自己主动去学习。这不，刚一入会就收到年会的信息，看了一下安排，最让我心动的是几个操作班，于是跟单位申请，批了。于是就订机票订住宿，等着出发了。<br>8月28日，下午五点半下班，坐地铁直奔机场。19点35的飞机，零点到上海。到住处洗洗睡下都一点了。在上海国家会展中心开，周边住宿太贵，我用爱彼迎订了民宿，第一次住民宿。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/01.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/02.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/03.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/04.jpg"><br>8月29日，年会开幕。<br>早上起来扫共享单车骑到国家会展中心，因为是预注册的，直接扫二维码就领胸牌进去参观了。第一天上午是开幕式，请到了白岩松和胡大一来做特别演讲。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/05.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/06.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/07.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/08.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/09.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/10.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/11.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/12.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/13.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/14.jpg"><br>白岩松讲医患关系，我觉得讲得蛮好的。他认为<br>医学界需要很多朋友，刚刚度过了第一个医师节，中国就四个职业有节——医师节，护士节，教师节，记者节。职业后面带着”德”才设节。口腔不太面对生死，经常面对美的需求。出生入死的解释:人一出生就向死亡而去。口腔是医学中市场化最充分的。未来中国第一产业:大健康产业。不要把涉医犯罪与医患关系混为一谈。恶性伤医易发耳鼻喉科的原因:个体感受与医学结果的不一致。医学的转变:为患者赋权。带来的问题，医生的沟通能力，患者的知识，社会对双方的保障。医生都用专业术语，不敢用大白话。经常是无效沟通。患者将医学万能化。将患者的担心提前告诉患者。沟通归根到底是心理。沟通心理是医学内容，不是”人文”。<br>接着是胡大一演讲，我听了开头就去逛展会去了。见了好多新东西。<br>种植导航<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/15.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/16.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/17.jpg"><br>e看牙，我们正好刚刚换这个系统，用着还行，但是还有很多功能用不了。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/18.jpg"><br>各种拔牙器械，这下全了。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/19.jpg"><br>其它一些设备和材料，可惜我们采购都要通过公司从物料表上找，所以我啥都没买，领了一堆赠品。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/20.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/21.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/22.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/23.jpg"><br>kq88也办了个百家讲堂<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/24.jpg"><br>还有壁报，看看人家的研究和病例展示。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/25.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/26.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/27.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/28.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/29.jpg"><br>下午是我报的第一个操作班，嵌体牙体预备的。<br>两点开始，于是我吃了午饭就去听了kq88的百家讲堂，讲牙外伤脱位再植的。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/30.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/31.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/32.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/33.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/34.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/35.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/36.jpg"><br>然后就去参加操作班了。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/37.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/38.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/39.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/40.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/41.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/42.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/43.jpg"><br>先是理论，然后在头模上实操。<br>晚上就没事了，去外滩逛逛。夜骑黄浦江。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/44.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/45.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/46.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/47.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/48.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/49.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/50.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/51.jpg"><br>8月30日，年会第二天。上午听了半天课，也是我这次参会唯一的一次完整听课。是三位牙周，牙体牙髓和修复专家在一起探讨牙周相关问题。我觉得这种形式特别好，把相关知识都串起来了。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/52.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/53.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/54.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/55.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/56.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/57.jpg"><br>我总结一下吧<br>牙周病患牙是否拔除的决定因素:患牙自身能否保留，对修复的作用，患者的意愿(牙是人家的)。<br>从牙周角度判断:必须拔的牙为三度松动的，牙槽骨吸收到根尖的。然后进一步诊断可疑的患牙，再从修复价值判断。<br>对于牙列完整的患牙，尽量保留牙列的完整。<br>对于松动度，原因的判断更重要，如果是牙槽骨吸收引起的，预后差。如果是颌创伤引起的，可以调合。<br>根据预后判断类型决定是否保留。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/58.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/59.jpg"><br>牙周与牙髓的相互影响<br>所谓的牙周牙髓联合病变还分好几种，不同的类型治疗不一样。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/60.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/61.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/62.jpg"><br>主要分类有<br>逆行性牙周病<br>原发牙周病变<br>原发牙周病变继发牙髓病变<br>牙周牙髓联合病变<br>医源性牙周病变(这个最好别往病历上写，会有纠纷的)<br>看文献要有自己的观点。<br>治疗原则就是牙周来源的先治牙周，牙髓来源的先做根管。<br>牙周与修复体的关系<br>牙体缺损修复(充填/全冠)后牙龈红肿的原因及处理<br>原因有边缘处理不好，有悬突，不光滑，粘接剂外露等。<br>处理<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/63.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/64.jpg"><br>如何做好修复体边缘<br>直接粘接修复要看病损到什么<br>间接修复体边缘设计<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/65.jpg"><br>终止线，修复体就位后与外界接触的地方<br>边缘形态<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/66.jpg"><br>无角肩台，备牙量少，边缘清晰。<br>内线角圆钝的肩台，用于美学要求高，强度低的，全瓷，树脂冠。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/67.jpg"><br>刃状边缘，把倒凹去掉就行。尽量不用，因为边缘不明显。材料受限，可以用无角肩台。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/68.jpg"><br>没有厚度，谈不上微创的。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/69.jpg"><br>决定因素:美观。<br>龈上边缘的问题:美观，固位。<br>牙冠延长术<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/70.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/71.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/72.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/73.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/74.jpg"><br>食嵌的问题<br>直接修复做好邻接关系，用豆瓣成型片。先上成型片，再涂粘接剂。要把线角吹薄。<br>间接修复，边缘提升的问题<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/75.jpg"><br>环节越多，出问题可能性越大。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/76.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/77.jpg"><br>技术无好坏，关键看适应症。<br>讨论:用玻璃离子做假壁，第一会干扰根测，第二与牙体区别不明显，有可能修复体会建立在玻璃离子之上 因此要用树脂做假壁。<br>食嵌的几种情况<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/78.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/79.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/80.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/81.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/82.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/83.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/84.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/85.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/86.jpg"><br>一个上午听下来感觉获益很多。下午吃了饭，是第二个操作班，树脂充填的。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/87.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/88.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/89.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/90.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/91.jpg"><br>也是先理论再实操，上橡皮障不熟，浪费很多时间。<br>实操一个小时结束，去隔壁听病例展示。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/92.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/93.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/94.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/95.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/96.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/97.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/98.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/99.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/100.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/101.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/102.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/103.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/104.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/105.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/106.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/107.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/108.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/109.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/110.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/111.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/112.jpg"><br>提问，患者有无面型主诉？有。<br>单纯从正畸改善比较困难，骨性问题多。牙釉质发育不全，粘托槽也有问题。<br>轻度骨性二类患者，上颌基骨丰满，双侧后牙舌倾。可将后牙抬起，创造间隙。<br>病史中乳牙有无该问题。<br>先确定是是做正畸还是咬合重建？有文献报道判断标准<br>正畸过程中，通过临时冠维持垂直高度。<br>提问，如果不做正畸，修复是维持现状吗？先做正畸，再做冠。<br>患者釉质发育不全但无龋<br>咬合重建最好先做正畸后再做。<br>内倾性深覆合不要盲目冠修复。<br>懂得太多考虑病例会陷入自己所长的领域。<br>要考虑磨耗的问题，要保护起来，同时改善咬合。垂直距离是一个范围，不是准确值。上下后牙舌倾能否正畸解决。<br>最大问题是粘接问题。<br>先考虑消除症状。判断牙本质暴露的问题，位置。用渗透树脂，脱敏剂。<br>另一位的病例<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/113.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/114.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/115.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/116.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/117.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/118.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/119.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/120.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/121.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/122.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/123.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/124.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/125.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/126.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/127.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/128.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/129.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/130.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/131.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/132.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/133.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/134.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/135.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/136.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/137.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/138.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/139.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/140.jpg"><br>修复也要学投头影测量<br>口腔卫生状况:还可以，卫生习惯差，不太重视。<br>不接受正畸治疗，医生可以引导。尽可能建议做正畸。<br>上颌架要上好。<br>病史对现在的影响要考虑。<br>开颌的病因。<br>微笑是左侧唇部高，会有影响。建议找微整形的先处理。<br>tmj问题，第一次修复时形成浅覆颌浅覆盖，比较安全。<br>拆冠后肩台如何？有肩台。<br>发长”一”音时露出超出70%即符合美学标准。冠延长可能不理想。<br>拆桩，患牙保留:缺损到达釉牙骨质界，拔除。<br>如果根尖周组织病变贯通，预后差。<br>大部分根尖周病变有良好预后，根尖周手术成功率约93%。<br>拆桩的技术敏感性较强。<br>拆桩的建议，让裂的时候尽量从近远中方向裂，保留唇侧牙槽骨以利种植。<br>上颌前牙列拆冠前要保留垂直高度。回答，先拆一半，做了临时冠，再拆另一半。<br>拆桩，螺纹桩，好拆，超声振动。铸造桩，比较难拆。<br>临时冠最好是单冠。<br>口腔不光是牙，要多关注牙以外的问题。<br>对开颌问题，要分析病因。初次修复后应该有覆颌覆盖的。渐进开合，有可能是髁突吸收，片子不支持。可能是创伤性开合。<br>种植医生:如果患牙可以保留五年以上，可以保留。否则就拔除做种植。<br>对美学，做什么都是”对”的。<br>晚上去听了一场音乐会，然后骑车游苏州河。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/141.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/142.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/143.jpg"><br>四行仓库，淞沪抗战的遗迹。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/144.jpg"><br>8月31日<br>今天报了两个操作班，一个根管，一个牙体预备。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/145.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/146.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/147.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/148.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/149.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/150.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/151.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/152.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/153.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/154.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/155.jpg"><br>第一次用protaper Next的镍钛锉。<br>十点半结束第一场实操，赶快到隔壁去听微博达人彭彬老师讲病例。还好，只错过了第一个病例，刚要开始讲第二个。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/156.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/157.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/158.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/159.jpg"><br>听大咖们讲到了cbct伪影的问题，后牙功能和美观的考虑的问题，邻牙的处理等问题。<br>第三个病例<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/160.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/161.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/162.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/163.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/164.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/165.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/166.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/167.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/168.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/169.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/170.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/171.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/172.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/173.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/174.jpg"><br>听各个学科专家们对病例的处理意见，真是开眼界了。<br>病例4<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/175.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/176.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/177.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/178.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/179.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/180.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/181.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/182.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/183.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/184.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/185.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/186.jpg"><br>转诊一定要有小牙片，封闭穿孔并不难(对大咖而言)，难的是完成根管预备。封闭根管口最好用流动树脂，别用玻璃离子。<br>上午的课程完了，下午还有个牙体预备的课，两点开始。吃了饭，再逛一下展会。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/187.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/188.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/189.jpg"><br>两点课程开始，这时我才知道是备贴面，前两天的是全冠。嘿嘿，贴面也不错。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/190.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/191.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/192.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/193.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/194.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/195.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/196.jpg"><br>还讲到了四手操作，跟我现场临时配合的是一位南京来的大哥，课程完了我们还聊了一会儿，约定明年再会。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/197.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/198.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/199.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/200.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/201.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/202.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/203.jpg"><br>然后就实操啦。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/204.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/205.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/206.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/207.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/208.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/209.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/210.jpg"><br>失败。实操班的东西，因为时间有限，学员多，我觉得只能学个过程，具体详细的适合每位医生自己的规范还得下来查资料自己总结，自己训练(所谓的刻意练习吧)。我会慢慢总结，也会把结果跟大家分享的。<br>晚上去了福州路，豫园，田子坊，并去上海九院转了转，门诊楼保安不让进。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/211.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/212.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/213.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/214.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/215.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/216.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/217.jpg"><br>这样2018年医学会年会就算结束啦，9月1日还有一天的会，不过全是专委会，领导换届之类的，没我啥事了。来了个上海博物馆一日游(户外太热了，春城来的我真心受不了，一到户外就一身汗)。上海自然博物馆和上海科技馆要买门票，都是提前七天在网上订的。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/218.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/219.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/220.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/221.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/222.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/223.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/224.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/225.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/226.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/227.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/228.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/229.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/230.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/231.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/232.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/233.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/234.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/235.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/236.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/237.jpg"><br>坐磁悬浮到浦东机场，回家了。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/238.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/239.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/240.jpg"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0025-zhyxhnhju2018/241.jpg"><br>有两个问题想请教大家:1.我在实操时用了头戴式放大镜，感觉很不错，备牙时看得比裸眼清楚多了。我在展会上也转了，有国产的，4000还带光源，也有进口的，不带光源10000+。实操用的是进口那家的。请问大家平时用的放大镜是哪个价位的？2.国内类似的口腔展会还有哪些值得一去的？我知道的就广州有个华南的，因为同学去过。但是自己从来没亲自参加过，这是第一次。谢谢大家。</p>
<p>声明：以上均是我个人的记录，不代表参会老师或者中华口腔医学会的观点。</p>
<p>本文发表于kq88，转到这里，发表日期：2018-09-04</p>
<p>我发文章的三个地方，欢迎大家在朋友圈等地方分享，欢迎点“在看”。<br>我的个人博客地址：<a href="https://zwdnet.github.io/">https://zwdnet.github.io</a><br>我的知乎文章地址： <a target="_blank" rel="noopener" href="https://www.zhihu.com/people/zhao-you-min/posts">https://www.zhihu.com/people/zhao-you-min/posts</a><br>我的微信个人订阅号：赵瑜敏的口腔医学学习园地</p>
<p><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/wx.jpg"></p>

      
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